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General NPI Number Information
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NPI Number | 1386970655
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Entity Type | Organization
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Legal Business Name | ALLIEDCARE HOME HEALTH OF ILLINOIS, LLC
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Dates
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Enumeration Date | 10/21/2009
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Last Update Date | 05/19/2011
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Provider Practice Location Address
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Address Line | 380 E NORTHWEST HWY SUITE 320F
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City | DES PLAINES
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State | IL
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Zip | 60016-2290
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Country | US
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Telephone | 847-296-9955
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Fax | 847-296-9977
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Provider Business Mailing Address
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Address Line | 380 E NORTHWEST HWY SUITE 320F
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City | DES PLAINES
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State | IL
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Zip | 60016-2290
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Country | US
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Telephone | 847-296-9955
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Fax | 847-296-9977
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Authorized Official
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Title or Position | MEMBER
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Name | MR. DENNIS APOLONIO MANALO
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Credential |
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Telephone | 847-507-6767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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